{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:58:17Z","timestamp":1782842297141,"version":"3.54.5"},"reference-count":11,"publisher":"JMIR Publications Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:p>The authors of \u201cImpact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review\u201d have effectively brought to our attention the failure of the electronic health record (EHR) to represent the human context. Because mental health or behavioral disorders (and functional status in general) emerge from an interaction between the individual\u2019s characteristics and the social context, it is essentially a failure to represent the human context. The assessment and treatment of these disorders must reflect how the person lives, their degree of social connectedness, their personal motivation, and their cultural background. This type of information is best communicated both through narrative and in collaboration with other providers and the patient\u2014largely because human social memory is organized around situation models and natural episodes. Neither functionality is currently available in most EHRs. Narrative communication is effective for several reasons: (1) it supports the communication of goals between providers; (2) it allows the author to express their belief in others\u2019 perspectives (theory of mind), for example, those who will be reading these notes; and (3) it supports the incorporation of the patient\u2019s personal perspective. The failure of the EHR to support mental health information data and information practices is, therefore, essentially a failure to support the basic communication functions necessary for the narrative. The authors have rightly noted the problems of the EHR in this domain, but perhaps they did not completely link the problems to the lack of functionality to support narrative communication. Suggestions for adding design elements are discussed.<\/jats:p>","DOI":"10.2196\/38513","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T14:19:02Z","timestamp":1649168342000},"page":"e38513","source":"Crossref","is-referenced-by-count":1,"title":["Through the Narrative Looking Glass: Commentary on \u201cImpact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review\u201d"],"prefix":"10.2196","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8297-2860","authenticated-orcid":false,"given":"Charlene","family":"Weir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2196\/30405"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2012-000946"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2016.02.011"},{"key":"ref4","first-page":"1066","volume":"2014","author":"Spuhl, Joshua","year":"2014","journal-title":"AMIA Annu Symp Proc"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.4324\/9781410609007"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000384"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511620539","author":"Clarke, HH","year":"1996","journal-title":"Using Language"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocz125"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080\/01638530902959596"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-s2-s9"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100489"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2022\/5\/e38513","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:34:36Z","timestamp":1782840876000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2022\/5\/e38513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,4]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2196\/38513","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.38513","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,4]]}}}